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{
    "pk": 1911,
    "title": "Rash and Fever in a Returned Traveler",
    "subtitle": null,
    "abstract": "<b>Case Presentation:</b> A 21-year-old, otherwise healthy female presented to the emergency department with fever among other nonspecific symptoms after recently returning from Ghana. On physical exam, she had a characteristic upper extremity rash, and a tourniquet test revealed numerous petechiae. The diagnosis of dengue was suspected and subsequently confirmed.<br><p><br></p><p><b>Discussion: </b>Dengue is one of many viral illnesses that should be considered in returning travelers presenting with fever and other nonspecific symptoms. Emergency physicians must keep a broad differential when evaluating fever in returned travelers and prioritize history and physical exam findings to help narrow the diagnosis and provide appropriate management and supportive care while awaiting further confirmatory testing.<br></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "fever in returned traveler"
        },
        {
            "word": "tropical medicine"
        },
        {
            "word": "Dengue fever"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/97j8p6ns",
    "frozenauthors": [
        {
            "first_name": "Helena",
            "middle_name": "",
            "last_name": "Kons",
            "name_suffix": "",
            "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama",
            "department": ""
        },
        {
            "first_name": "Elliott",
            "middle_name": "D.",
            "last_name": "Herron",
            "name_suffix": "",
            "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama",
            "department": ""
        },
        {
            "first_name": "Zachary",
            "middle_name": "S.",
            "last_name": "Pacheco",
            "name_suffix": "",
            "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama",
            "department": ""
        },
        {
            "first_name": "Erin",
            "middle_name": "F.",
            "last_name": "Shufflebarger",
            "name_suffix": "",
            "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama",
            "department": ""
        }
    ],
    "date_submitted": "2023-10-01T03:32:07.838000Z",
    "date_accepted": "2023-12-04T19:34:48.936000Z",
    "date_published": "2024-03-26T13:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1911/galley/10293/download/"
    },
    "galleys": [
        {
            "label": "Layout",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1911/galley/4312/download/"
        },
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1911/galley/10293/download/"
        }
    ]
}